Questions 150

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Question 1 of 5

The mother of a 7-month-old child born 6 weeks early asks the nurse what play activities and toys are appropriate for her child. Which of the following should the nurse suggest?

Correct Answer: B

Rationale: Peek-a-boo is an age-appropriate activity for a 7-month-old, promoting social and cognitive development. Picture books and colored blocks are better for older children, and a rattle may be less engaging for this age.

Question 2 of 5

Which of the following is NOT an essential minimal component of the teaching that occurs prior to getting an informed consent?

Correct Answer: D

Rationale: Essential components of informed consent include the purpose , expected outcomes , and who will perform the procedure . The specific timing is not a required minimal component.

Question 3 of 5

The nurse teaches a pregnant client to perform Kegel exercises. Which statement by the client indicates an understanding of the purpose of these types of exercises?

Correct Answer: C

Rationale: Kegel exercises assist in strengthening the pelvic floor (pubococcygeal muscle). Pelvic tilt exercises help reduce backaches. Leg elevation assists in preventing ankle edema. Instructing a client to drink 8 ounces of fluids 6 times a day helps prevent urinary tract infections.

Question 4 of 5

Which of the following nursing diagnoses should the nurse implement as part of the long-term care for a child with hemophilia?

Correct Answer: B

Rationale: Risk for injury is a priority nursing diagnosis for a child with hemophilia due to the risk of bleeding from minor trauma. Other diagnoses may apply but are less critical long-term.

Question 5 of 5

A client is receiving a transfusion of packed red blood cells. Which of the following actions should the nurse implement to safely administer the blood?

Correct Answer: B

Rationale: Staying with the client for the first 15 minutes is critical to monitor for acute transfusion reactions, which are most likely to occur early.

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